Preview
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
EXHIBIT A
1 FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
POLICY FACE SHEET
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
70
00 INSURER:
TE SENTINEL INSURANCE COMPANY, LIMITED
SBA
TRANS EFF DATE: 05/10/20
POLICY NO. 13 SBA TE0070 SB RECORDS RETENTION - PERMANENT
DECLARATIONS
ITEMS
1. NAMED INSURED AND EXPOSITION SALES & DESIGN, INC
MAILING ADDRESS: SEE FORM SS1235
31 DWIGHT PL
FAIRFIELD, ESSEX
NJ. 07004
2. POLICY PERIOD: 05/11/19 05/11/20 1
INCEPTION EXPIRATION YEAR
AGENT'S CODE: 651567
AGENT'S NAME: EINHORN-FORLENZA AGENCY INC
PREVIOUS POLICY NO. 13 SBA TE0070
3. THE NAMED INSURED IS: CORP
POLICY STATUS: RESTRICT
LOB LEVEL OF SUPPORT: SP-S
MARKET SEGMENTATION: 410
AUDIT PERIOD: ANNUAL
SELECT CUSTOMER
DIRECT ACCOUNT BILL NUMBER - 13681159
DEDUCTIBLE
UMBRELLA
RATED RISK
ADDITIONAL INSURED(S)
REVIEW FOR MANUAL CODING
TRANS TYPE: R CNTL#: 004
POLICY FACE SHEET TERMINAL ID: R022V7JA PAGE 2
06/24/20 13 SBA TE0070 SB (05/11/20)
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGE
This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated
below:
Policy Number: 13 SBA TE0070 SB
Named Insured and Mailing Address; EXPOSITION SALES & DESIGN, INC
SEE FORM SS1235
31 DWIGHT PL
FAIRFIELD NJ 07004
Policy Change Effective Date: 05/11/19 Effective hour is the same as stated in the
Declarations Page of the Policy.
Policy Change Number: 001
Agent Name: EINHORN-FORLENZA AGENCY INC
Code: 651567
POLICY CHANGES:
SENTINEL INSURANCE COMPANY, LIMITED
ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING
STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK
ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.
THIS IS NOT A BILL.
RETURN PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE: $134.00
*INCLUDES RETURN TERRORISM PREMIUM OF: $3.00
STATE SURCHARGE(S) SHOWN BELOW NOT INCLUDED IN ABOVE TOTALS:
DATE DUE 05/11/19
RETURN NJPLGA $1.00
RATES AND PREMIUMS ARE CHANGED.
PRO RATA FACTOR: 1.000
THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.
Form SS 12 11 04 05 T Page 001 (CONTINUED ON NEXT PAGE)
Process Date: 04/25/19 Policy Effective Date: 05/11/19
Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
POLICY CHANGE (Continued)
Policy Number: 13 SBA TE0070
Policy Change Number: 001
BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED
UMBRELLA LIABILITY IS CHANGED
NON-OWNED AUTOMOBILE-HIRED CAR IS DELETED
SEE SCHEDULE ATTACHED
HIRED/NON-OWNED AUTO LIABILITY IS DELETED: FORM SS 04 38
FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:
SX80041008
FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE:
SX21030401
Form SS 12 11 04 05 T Page 002
Process Date: 04/25/19 Policy Effective Date: 05/11/19
Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
EXTENSION SCHEDULE OF "REVISED"
UNDERLYING INSURANCE POLICIES
This extension schedule forms a part of the policy designated in the Declarations.
Carrier, Policy Number and Policy Period:
A. SENTINEL INSURANCE COMPANY, LIMITED
13 SBA TE0070 05/11/19 TO 05/11/20
Type of Coverage Applicable Limits
( X ) Business Liability - including: Bodily Injury and Property Damage
Liability Combined
$1,000,000 each occurrence
$2,000,000 general aggregate
Employees as Additional Insureds
Contractual Liability
Limited Non-Owned Watercraft
Additional Insureds
Damages To Premises Rented To You Property Damage Liability
$1,000,000 each occurrence
( X ) Personal and Advertising Injury $1,000,000
( X ) Products/Completed Operations $2,000,000 Prod./Comp. Ops.
aggregate
( ) Hired Auto and Non-Owned Auto Limit of Liability
B.
( ) Comprehensive Automobile Liability - Bodily Injury Liability
Owned Automobiles each person
each accident
Property Damage Liability
( ) Non-Owned Automobiles each accident
Bodily Injury and Property Damage
( ) Hired Automobiles Liability Combined
each accident
( ) Uninsured Motorist each occurrence
C.
( ) Employer’s Liability each accident*
each employee by
disease*
total policy by disease*
D.
( ) Liquor Liability
An "X" marked in the box indicates the coverage is provided in the Underlying Policies.
(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03)
*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying
insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule
forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction.
Form SX 80 04 10 08 Page 1 of 2
Process Date: 04/25/19 Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
EXTENSION SCHEDULE OF UNDERLYING
INSURANCE POLICIES (Continued)
POLICY NUMBER: 13 SBA TE0070
Carrier, Policy Number and Policy Period:
E.
Type of Coverage Applicable Limits
( ) Foreign Commercial General Liability- including: each occurrence
Personal and Advertising Injury Personal and Advertising
Injury aggregate
Products/Completed Operations Products/Completed
Operations aggregate
( ) Foreign Contingent Auto Liability each accident
( ) Foreign Employer’s Liability each accident *
each employee by disease*
total policy by disease*
An "X" marked in the box indicates the coverage is provided in the Underlying Policies.
(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03)
*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying
insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule
forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction.
Form SX 80 04 10 08 Page 2 of 2
Process Date: 04/25/19 Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION - AUTO
This endorsement modifies insurance provided under the
UMBRELLA LIABILITY PROVISIONS
This policy does not apply to liability arising out of the:
1. Ownership;
2. Operation;
3. Maintenance;
4. Use;
5. Entrustment to others; or
6. Loading or unloading;
Of any "auto."
This exclusion applies even if the claims against any
insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring
of others by that insured, if the “occurrence” which
caused in the injury or damage involved the ownership,
maintenance, use, entrustment to others, or loading or
unloading of any “auto”.
Form SX 21 03 04 01
© 2001, The Hartford
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
REGIONAL OFFICE INSTRUCTION SHEET
POLICY NUMBER: 13 SBA TE0070 SB
CHANGE NUMBER: 001
CHANGE EFF DATE: 05/11/19
ROUTING INSTRUCTIONS
_SEND TO RECORDS. TRANSFER CORR IF APPLICABLE.
TERMINAL ID: R001VCSA OPER INIT: CXM
04/25/19 13 SBA TE0070 SB (05/11/20) PAGE 1
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
POLICY FACE SHEET
70
00 INSURER:
TE SENTINEL INSURANCE COMPANY, LIMITED
SBA
CHANGE NO.: 001
CHANGE EFF DATE: 05/11/19
POLICY NO. 13 SBA TE0070 SB RECORDS RETENTION - PERMANENT
DECLARATIONS
ITEMS
1. NAMED INSURED AND EXPOSITION SALES & DESIGN, INC
MAILING ADDRESS: SEE FORM SS1235
31 DWIGHT PL
FAIRFIELD, ESSEX
NJ. 07004
2. POLICY PERIOD: 05/11/19 05/11/20 1
INCEPTION EXPIRATION YEAR
AGENT'S CODE: 651567
AGENT'S NAME: EINHORN-FORLENZA AGENCY INC
PREVIOUS POLICY NO. 13 SBA TE0070
3. THE NAMED INSURED IS: CORP
POLICY STATUS: ACTIVE
LOB LEVEL OF SUPPORT: SP-S
MARKET SEGMENTATION: 410
AUDIT PERIOD: ANNUAL
SELECT CUSTOMER
DIRECT ACCOUNT BILL NUMBER - 13681159
DEDUCTIBLE
UMBRELLA
RATED RISK
LOSS PAYEE
ADDITIONAL INSURED(S)
AUTOMATICALLY BOOKED
TRANS TYPE: ENDT CNTL#: 002
POLICY FACE SHEET TERMINAL ID: R001VCSA PAGE 2
04/25/19 13 SBA TE0070 SB (05/11/20)
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGE
This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated
below:
Policy Number: 13 SBA TE0070 SB
Named Insured and Mailing Address; EXPOSITION SALES & DESIGN, INC
SEE FORM SS1235
31 DWIGHT PL
FAIRFIELD NJ 07004
Policy Change Effective Date: 05/11/19 Effective hour is the same as stated in the
Declarations Page of the Policy.
Policy Change Number: 001
Agent Name: EINHORN-FORLENZA AGENCY INC
Code: 651567
POLICY CHANGES:
SENTINEL INSURANCE COMPANY, LIMITED
ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING
STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK
ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.
THIS IS NOT A BILL.
RETURN PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE: $134.00
*INCLUDES RETURN TERRORISM PREMIUM OF: $3.00
STATE SURCHARGE(S) SHOWN BELOW NOT INCLUDED IN ABOVE TOTALS:
DATE DUE 05/11/19
RETURN NJPLGA $1.00
RATES AND PREMIUMS ARE CHANGED.
PRO RATA FACTOR: 1.000
THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.
Form SS 12 11 04 05 T Page 001 (CONTINUED ON NEXT PAGE)
Process Date: 04/25/19 Policy Effective Date: 05/11/19
Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
POLICY CHANGE (Continued)
Policy Number: 13 SBA TE0070
Policy Change Number: 001
BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED
UMBRELLA LIABILITY IS CHANGED
NON-OWNED AUTOMOBILE-HIRED CAR IS DELETED
SEE SCHEDULE ATTACHED
HIRED/NON-OWNED AUTO LIABILITY IS DELETED: FORM SS 04 38
FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:
SX80041008
FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE:
SX21030401
Form SS 12 11 04 05 T Page 002
Process Date: 04/25/19 Policy Effective Date: 05/11/19
Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
EXTENSION SCHEDULE OF "REVISED"
UNDERLYING INSURANCE POLICIES
This extension schedule forms a part of the policy designated in the Declarations.
Carrier, Policy Number and Policy Period:
A. SENTINEL INSURANCE COMPANY, LIMITED
13 SBA TE0070 05/11/19 TO 05/11/20
Type of Coverage Applicable Limits
( X ) Business Liability - including: Bodily Injury and Property Damage
Liability Combined
$1,000,000 each occurrence
$2,000,000 general aggregate
Employees as Additional Insureds
Contractual Liability
Limited Non-Owned Watercraft
Additional Insureds
Damages To Premises Rented To You Property Damage Liability
$1,000,000 each occurrence
( X ) Personal and Advertising Injury $1,000,000
( X ) Products/Completed Operations $2,000,000 Prod./Comp. Ops.
aggregate
( ) Hired Auto and Non-Owned Auto Limit of Liability
B.
( ) Comprehensive Automobile Liability - Bodily Injury Liability
Owned Automobiles each person
each accident
Property Damage Liability
( ) Non-Owned Automobiles each accident
Bodily Injury and Property Damage
( ) Hired Automobiles Liability Combined
each accident
( ) Uninsured Motorist each occurrence
C.
( ) Employer’s Liability each accident*
each employee by
disease*
total policy by disease*
D.
( ) Liquor Liability
An "X" marked in the box indicates the coverage is provided in the Underlying Policies.
(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03)
*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying
insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule
forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction.
Form SX 80 04 10 08 Page 1 of 2
Process Date: 04/25/19 Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
EXTENSION SCHEDULE OF UNDERLYING
INSURANCE POLICIES (Continued)
POLICY NUMBER: 13 SBA TE0070
Carrier, Policy Number and Policy Period:
E.
Type of Coverage Applicable Limits
( ) Foreign Commercial General Liability- including: each occurrence
Personal and Advertising Injury Personal and Advertising
Injury aggregate
Products/Completed Operations Products/Completed
Operations aggregate
( ) Foreign Contingent Auto Liability each accident
( ) Foreign Employer’s Liability each accident *
each employee by disease*
total policy by disease*
An "X" marked in the box indicates the coverage is provided in the Underlying Policies.
(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03)
*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying
insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule
forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction.
Form SX 80 04 10 08 Page 2 of 2
Process Date: 04/25/19 Policy Expiration Date: 05/11/20
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
COMMERCIAL LINES AUTOMATION - SPECTRUM SUMMARY PAGE 2
POLICY INFORMATION
NAMED INSURED: EXPOSITION SALES & DESIGN, INC
AGENT CODE AND NAME: 651567 EINHORN-FORLENZA AGENCY INC
COMPANY CODE AND NAME: A SENTINEL INSURANCE COMPANY, LIMITED
POLICY EFFECTIVE DATE: 05/11/19 POLICY EXPIRATION DATE: 05/11/20
TRANS EFFECTIVE DATE: 05/11/19 AUDIT PERIOD: ANNUALLY
TRANSACTION TYPE: ENDORSEMENT CHANGE NUMBER: 001
POLICY AUTOMATICALLY BOOKED
REPLACEMENT COST APPLIES TO BLDG
REPLACEMENT COST APPLIES TO BPP
SPECTRUM PROPERTY DEDUCTIBLE: $1,000
COVERAGES LIMITS OF LIABILITY PREMIUMS
POLICY BASE PREMIUM $0.00
BUILDING $3,219,400 $0.00
BUSINESS PERSONAL PROPERTY $1,120,500 $0.00
BUSINESS PERSONAL PROPERTY OF OTHERS $1,217,200 $0.00
BUSINESS INCOME-SPECIFIED LIMIT $1,000,000 $0.00
EQUIPMENT BREAKDOWN INCLUDED $0.00
BUSINESS LIABILITY
PREMISES/OPERATIONS $1,000,000 $0.00
PRODUCTS/COMPLETED OPERATIONS $1,000,000 $0.00
DAMAGES TO PREMISES RENTED TO YOU
ANY ONE PREMISES $1,000,000 INCLUDED
FUNGI LIMITED COVERAGE $100,000 $0.00
FUNGI LIMITED BUSINESS INTERRUPTION 30 DAYS INCLUDED
MONEY AND SECURITIES
INSIDE-PREMISES $10,000
OUTSIDE-PREMISES $5,000 INCLUDED
UMBRELLA PREMISES/OPERATIONS $5,000,000 $0.00
UMBRELLA PRODUCTS/COMPLETED OPERATION $5,000,000 $0.00
EMPLOYEE DISHONESTY DEDUCTIBLE $100 $150,000 $0.00
IDENTITY RECOVERY $15,000 INCLUDED
PERSONAL PROPERTY OFF PREMISES $100,000 $0.00
TRANSIT-PROPERTY/CARRIERS FOR HIRE $100,000 $0.00
EMPLOYEE BENEFITS LIABILITY $1,000,000/ $2,000,000 $0.00
EMPLOYMENT PRACTICES LIABILITY $10,000/ $10,000 INCLUDED
NON-OWNED AUTOMOBILE/HIRED CAR $0 $131.00 RP
MANUFACTURERS STRETCH $0.00
TERRORISM COVERAGE $3.00 RP
TOTAL DIFFERENCE $134.00 RP
FACTOR
NJPLGA SURCHARGE: .006000 $1.00 RP
POLICY # 13SBATE0070 SB CONTROL # 002 TERM ID R001VCSA
PROCESS DATE 04/25/19 OPER INITIALS CXM AAR PREV POL # 13SBATE0070
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
PRODUCER'S FACT SHEET
NAMED INSURED: EXPOSITION SALES & DESIGN, INC
SEE FORM SS 12 35
POL #: 13 SBA TE0070 SB
PRODUCER'S NAME: PRODUCER'S CODE: 651567
EINHORN-FORLENZA AGENCY INC
POL EFF DATE: 05/11/19 POL EXP DATE: 05/11/20 TRANS EFF DATE: 05/11/19
DIRECT ACCOUNT BILL NUMBER - 13681159
TRANSACTION TYPE: ENDORSEMENT CHANGE NO.: 001
ENDORSEMENT PREMIUM: $135.00 RP (INCLUDES SURCHARGES)
ENDORSEMENT PREMIUM BREAKDOWN
PREMIUM COMMISSION PERCENTAGE
SPECTRUM $134.00 RP 15.0
NJPLGA SRCH $1.00 RP 0.0
TOTAL $135.00 RP
FORM TITLE
SS 12 11 04 05 POLICY CHANGE
SX 80 04 10 08 EXTENSION SCHEDULE OF UNDERLYING INSURANCE POLICIES
SX 21 03 04 01 EXCLUSION - AUTO
PRODUCER'S FACT SHEET PAGE 1
04/25/19 13 SBA TE0070 SB (05/11/20)
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
IMPORTANT NOTICE TO OUR POLICYHOLDERS
THANK YOU FOR RENEWING YOUR POLICY WITH THE HARTFORD. WITH THIS NOTICE WE ARE
PROVIDING YOU ONLY WITH THE DECLARATIONS PAGE, WHICH OUTLINES YOUR COVERAGES, AND
WITH THOSE POLICY FORMS, NOTICES, AND BROCHURES WHICH ARE DIFFERENT FROM THOSE
WHICH WE PROVIDED WITH YOUR PREVIOUS POLICY. YOU SHOULD RETAIN ALL OF THESE
____________________________________
_
DOCUMENTS AND THOSE PROVIDED WITH YOUR PREVIOUS POLICY INDEFINITELY SO THAT YOU
_____________________________________________________________________________
WILL HAVE A COMPLETE SET OF POLICY FORMS AT ALL TIMES FOR YOUR REFERENCE.
IF YOU HAVE QUESTIONS, OR IF AT ANY TIME YOU NEED COPIES OF ANY OF THE FORMS LISTED ON
YOUR POLICY, PLEASE CALL YOUR HARTFORD AGENT OR BROKER, OR THE OFFICE OF THE
HARTFORD IDENTIFIED ON YOUR POLICY, AS APPROPRIATE.
Form G-3187-0
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
Insurance Policy Billing Information
Thank you for selecting The Hartford for your business insurance needs.
Shortly, you will receive your first bill from us. You are receiving this Notice so you know
what to expect as a valued customer of The Hartford. Should you have any questions after
reviewing this information, please contact us at 866-467-8730, and we will be happy to
assist you.
o Your total policy premium will appear on your policy’s Declarations Page. You will be billed based on the payment
plan you selected.
o You may pay the "minimum due" as it appears on your insurance bill or pay the policy balance in full.
o An installment service fee is added to each installment. A late fee will also be applied if the "minimum due" is not
received by the due date shown on your bill. Service and late payment fees do not apply in all states.
o If you selected installment billing, any credit or additional premium due as the result of a change made to your
policy, will be spread over the remaining billing installments. Additional premium due as a result of an audit will be
billed in full on your next bill date following the completion of the audit.
o If you elected Electronic Funds Transfer (EFT), policy changes may result in changes to the amount automatically
withdrawn from your bank account. The invoice you receive following a policy change will include future withdrawal
amounts. If you need to adjust or stop your next scheduled EFT withdrawal, please contact us at least 3 days
prior to the scheduled withdrawal date at the telephone number shown below.
o If you selected installment billing and pay the premiums for your first policy term on time, at renewal, your account
may qualify for our "Equal Installment" feature. This means that the percentage due for each installment, including
the initial renewal installment, will be the same throughout the policy term – helping you better manage cash flow.
Equal installments will continue as long as you pay your premiums on time and no cancellation notices are issued
for any policy on your account. If you no longer qualify for Equal Installments, future renewals will be billed based
on the payment plan you selected, which includes a higher initial installment amount.
o If your policy is eligible for renewal, your bill for the upcoming policy term will be sent to you approximately 30 days
prior to your policy’s renewal date. If your insurance needs change, please contact us at least 60 days prior to your
renewal date so we can properly address any adjustments needed.
o One bill convenience -- you have the option of combining all eligible Hartford policies on one single bill allowing
you to make one payment for all policies on your account as payments are due.
You’re In Control
In addition to selecting a bill plan option that best meets your budget, you have the flexibility to decide how your
payments are made …
o Repetitive EFT: Sign up for Repetitive EFT payments and have payments automatically withdrawn from your bank
account. This option saves you money by reducing the amount of the installment service fee.
o Pay Online: Register at www.thehartford.com/servicecenter. Online Bill Pay is Quick, Easy and Secure!
o Pay by Check: Send a check with your remittance stub in the envelope provided with your bill.
o Pay by Phone: Call toll-free 1-866-467-8730.
Should you have any questions about your bill, please call Customer Service toll-free number:
1-866-467-8730 - 7AM – 7PM CST. We look forward to being of service to you.
Form 100722 11th Rev. Printed in U.S.A.
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
IMPORTANT NOTICE TO POLICYHOLDERS
THE HARTFORD CYBER CENTER WEBSITE ACCESS
Thank you for choosing The Hartford for your business insurance needs.
You are receiving this Notice because you purchased a business owner's policy from The Hartford, (your Policy
was issued by The Hartford writing company identified on your policy Declarations page) which includes access to
The Hartford Cyber Center. This portal was created because we recognize that businesses face a variety of
cyber-related exposures and need help managing the related risks. These exposures include data breaches,
computer virus attacks and cyber extortion threats.
Through The Hartford Cyber Center, you have access to:
o A panel of third party incident response service providers
o Third party cybersecurity pre-incident service providers and a list of approved services to help protect
your business before a cyber-threat occurs
o Risk management tools, including self-assessments, best practice guides, templates, sample incident
response plans, and data breach cost calculators
o White papers, blogs and webinars from leading privacy and security practitioners
o Up-to-date cyber-related news and events, including examples of privacy and security related events
Accessing The Hartford Cyber Center is easy
1. Visit www.thehartford.com/cybercenter
2. Enter policyholder information
3. Access code: 952689
4. Login to The Hartford Cyber Center
This Notice does not amend or otherwise affect the provisions of your business owner's policy.
Coverage Options:
The Hartford offers a variety of endorsements to your business owner's policy that can help protect your business
from a broad range of cyber-related threats. Please review your coverage with your insurance agent or broker to
determine the most appropriate cyber coverages and limits for your business.
Claims Reporting:
If you have a claim, you can report it by calling The Hartford's toll-free claims line at 1-800-327-3636.
Should you have any questions, please contact your insurance agent, broker or you may contact us directly.
We appreciate your business and look forward to being of continued service to you.
Please be aware that:
o The Hartford Cyber Center is a proprietary web portal exclusively provided to customers of The Hartford.
Please do not share the access code with anyone outside your organization.
o Registration is required to access the Cyber Center. You may register as many users as necessary.
o Contacting a service provider about any issue does not constitute providing The Hartford notice of a claim
as required under your insurance policy. Read your insurance policy and discuss any questions with your
agent or broker.
The Hartford Cyber Center provides third party service provider references and materials for educational
purposes only. The Hartford does not specifically endorse any such service provider within The Hartford Cyber
Center and hereby disclaims all liability with respect to use of or reliance on such service providers. All service
providers are independent contractors and not agents of The Hartford. The Hartford does not warrant the
performance of the service providers, even if such services are covered under your Business Owners Policy. We
strongly encourage you to conduct your own assessments of the service providers' services and the fitness or
adequacy of such services for your particular needs.
Form SS 89 93 07 16 Page 1 of 1
© 2016, The Hartford
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
®
Business Owner’s Policy
Form SS 00 01 03 14 Page 1 of 1
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
PRODUCER COMPENSATION NOTICE
You can review and obtain information on The Hartford’s producer compensation practices at
www.TheHartford.com or at 1-800-592-5717.
Form G-3418-0
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
POLICY NUMBER: 13 SBA TE0070
THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN
RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK
INSURANCE ACT.
DISCLOSURE PURSUANT TO TERRORISM RISK
INSURANCE ACT
SCHEDULE
Terrorism Premium:
$ $525.00
A. Disclosure Of Premium United States or to influence the policy or
In accordance with the federal Terrorism Risk affect the conduct of the United States
Insurance Act, as amended (TRIA), we are required Government by coercion
to provide you with a notice disclosing the portion of C. Disclosure Of Federal Share Of Terrorism
your premium, if any, attributable to coverage for Losses
"certified acts of terrorism" under TRIA. The portion The United States Department of the Treasury will
of your premium attributable to such coverage is reimburse insurers for a portion of insured losses,
shown in the Schedule of this endorsement. as indicated in the table below, attributable to
B. The following definition is added with respect to the "certified acts of terrorism" under TRIA that exceeds
provisions of this endorsement: the applicable insurer deductible:
1. A "certified act of terrorism" means an act that is Calendar Year Federal Share of
certified by the Secretary of the Treasury, in Terrorism Losses
accordance with the provisions of TRIA, to be
an act of terrorism under TRIA. The criteria 2015 85%
contained in TRIA for a "certified act of 2016 84%
terrorism" include the following:
2017 83%
a. The act results in insured losses in excess
of $5 million in the aggregate, attributable to 2018 82%
all types of insurance subject to TRIA; and 2019 81%
b. The act results in damage within the United 2020 or later 80%
States, or outside the United States in the
case of certain air carriers or vessels or the However, if aggregate industry insured losses under
premises of an United States mission; and TRIA exceed $100 billion in a calendar year, the
c. The act is a violent act or an act that is Treasury shall not make any payment for any
dangerous to human life, property or portion of the amount of such losses that exceeds
infrastructure and is committed by an $100 billion. The United States government has not
individual or individuals as part of an effort charged any premium for their participation in
to coerce the civilian population of the covering terrorism losses.
Form SS 83 76 01 15 Page 1 of 2
© 2015 , The Hartford
(Includes copyrighted material of the Insurance Services Office, Inc., with its permission.)
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
D. Cap On Insurer Liability for Terrorism Losses
If aggregate industry insured losses attributable to
"certified acts of terrorism" under TRIA exceed $100
billion in a calendar year and we have met, or will
meet, our insurer deductible under TRIA, we shall
not be liable for the payment of any portion of the
amount of such losses that exceed $100 billion. In
such case, your coverage for terrorism losses may
be reduced on a pro-rata basis in accordance with
procedures established by the Treasury, based on
its estimates of aggregate industry losses and our
estimate that we will exceed our insurer deductible.
In accordance with the Treasury's procedures,
amounts paid for losses may be subject to further
adjustments based on differences between actual
losses and estimates.
E. Application of Other Exclusions
The terms and limitations of any terrorism exclusion,
the inapplicability or omission of a terrorism
exclusion, or the inclusion of terrorism coverage, do
not serve to create coverage for any loss which
would otherwise be excluded under this Coverage
Form, Coverage Part or Policy.
F. All other terms and conditions remain the same.
Form SS 83 76 01 15 Page 2 of 2
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
IMPORTANT NOTICE TO POLICYHOLDERS
ERISA - EMPLOYEE DISHONESTY
You are receiving this notice because your renewal policy contains ERISA-EMPLOYEE DISHONESTY.
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets rules and standards of
conduct for private sector employee benefit plans and those that invest and manage their assets. One of ERISA's
requirements is that people who handle plan funds and other property must be covered by a fidelity bond to protect
the plan from losses due to fraud or dishonesty.
Please be advised that on or before the beginning of each plan year, the plan administrator or other plan fiduciary
must ensure that the plan has the legally required bonding amount for the individuals who will handle the plan's
funds and other property. If necessary, the plan administrator or other plan fiduciary may need to obtain
appropriate adjustments or additional protection to ensure that the coverage will be in compliance for the new plan
year.
If you wish to adjust the amount of your ERISA fidelity bond, please reach out to your agent or Hartford
representative.
Form SS 90 30 06 18 Page 1 of 1
© 2018, The Hartford
FILED: KINGS COUNTY CLERK 05/13/2022 04:09 PM INDEX NO. 507931/2020
NYSCEF DOC. NO. 80 RECEIVED NYSCEF: 05/13/2022
IMPORTANT NOTICE TO POLICYHOLDERS
To help your insurance keep pace with increasing costs, we have increased your amount of insurance . . . giving you
better protection in case of either a partial, or total loss to your property.
If you feel the new amount is not the proper one, please contact your agent or broker.